Director of Quality Management

Summit BHC

95d

About The Position

The Director of Quality Management is responsible for conducting and implementing work plans, systems, processes and policies designed to ensure compliance with all licensure, insurance, accreditation and certification agencies, federal, and state regulations and laws. Directs and monitors the development and implementation of the overall Facility quality assessment process to ensure safe and excellent client care delivery and to promote a high reliability organization.

Requirements

• Bachelor’s Degree in Nursing or Human Services field required.
• Master’s Degree in Human Services preferred.
• Three or more years’ experience in Quality Management, facility licensure, survey and credentialing process required.
• Experience in a behavioral health setting preferred.
• Experience with TJC and/or CARF accreditation and regulatory audits preferred.
• Working knowledge of Regulatory Compliance.
• Professional clinical license issued by the appropriate licensing body as required by the state.
• CPR and de-escalation certification required (training available upon hire and offered by facility).
• First aid may be required based on state or facility.
• At least two years’ supervisory/management experience required, preferably in behavioral health.

Responsibilities

• Monitors and directs the day-to-day operations of quality management and compliance process within the organization to establish and maintain a culture of compliance and safety.
• Continually assesses the facility survey readiness. Functions as survey coordinator during any regulatory survey.
• In consultation with key managers, prepares responses to survey and addresses recommendations and areas needing improvement.
• Coordinates regulatory activities including licensure, certification and accreditation (OHFLAC, BHHF, CMS, Joint Commission, CARF, ASAM, Office of Civil Rights, etc.).
• Serves as liaison to the regulatory agencies related to activities within the organization.
• Leads a team of highly engaged members thru hiring, orienting, performance assessment and management, motivating, training, scheduling, and coaching to meet department goals and ensure effective and efficient department operation.
• Sets expectations, develops plans, and manages processes to measure, assess and improve the quality of clinical programs and/or regulatory/accreditation compliance by measurable results in assigned facilities.
• Develops, reviews, and updates internal clinical procedures, related outcomes measurement, client satisfaction, clinical/financial scorecards to ensure ongoing compliance with federal, state and other third party regulatory requirements.
• Responds to alleged violations of rules, regulations, and policies, by evaluating and recommending investigations as appropriate.
• Coordinates resolution of ethics reports with appropriate staff/department.
• Maintains proficiency in regulatory planning strategy and the submission of regulatory plans.
• Develops corrective action plans for the resolution of problematic issues or to address areas of compliance vulnerability.
• Collects and provides data for compliance requests, dashboards, and scorecards.
• Prepares and submits accurate and comprehensive reports as required both internally and externally.
• Oversees the coordination of internal and external governmental compliance/privacy investigations or reimbursement reviews at the facility.
• Provides research, analysis, and consultation on regulatory requirements.
• Maintains current and updated facility accreditation and regulatory standards manuals.
• Ensures proper facility reporting of incidents and adverse clinical outcomes to duly authorized enforcement agencies or regulatory agencies as appropriate and/or required.

Benefits

• Comprehensive benefit plan
• Competitive salary commensurate with experience and qualifications

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Bachelor's degree
• Number of Employees: 501-1,000 employees